Trends in Mental Health Admissions to Nursing Homes, 1999–2005

作者: David C. Grabowski , Thomas G. McGuire , Vincent Mor , Zhanlian Feng , M.P.H. Catherine Anne Fullerton

DOI: 10.1176/APPI.PS.60.7.965

关键词: MedicineMinimum Data SetBipolar disorderDepression (differential diagnoses)Mental illnessDementiaMental healthGerontologyComorbidityLong-term carePsychiatry

摘要: Objective: The study examined 1999–2005 data on first-time nursing home admissions of individuals with mental illness, dementia, or both to identify trends and characteristics. Methods: Minimum Data Set was used estimate the number percentage persons newly admitted homes who had illness (schizophrenia, bipolar disorder, depression, an anxiety disorder), from 1999 2005. 2005 were compare demographic characteristics comorbid conditions three groups treatments received. Results: increased 168,721 in 187,478 is more than 50% higher dementia only (118,290 2005). increase driven by growth depression—from 128,566 154,262 Persons depression rates those neither nor illness. They also high antidepressant treatment receipt training skills required return community. Conclusions: Current show that proportion particular has overtaken dementia. These changes may be related recognition availability alternatives for specialization among care postacute, rehabilitation residents. In light these trends, it critical ensure have resources adequately treat residents facilitate community reintegration. (Psychiatric Services 60:965–971, 2009)

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